Individual
MRS. MEREDITH KAY WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-0809
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-0809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/26/2007
Last updated
01/08/2009
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